Operative vs. conservative treatment of AC-Joint Dislocations Rockwood grade ≥ III -An economical and clinical evaluation.

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Abstract

Conflict of interest statement: The authors declare no competing interests. This study was performed in line with the principles oft he declaration of Helsinki. Approval was granted by the Ethics Commitee: „Ethikkommission Nordwest- und Zentralschweiz“ (December 8th, 2020 / ID:2020/02448). No funds, grants or other support was recieved. The authors have no relevant financial or non-financial interests to disclose. 19. EFORT Open Rev. 2018 Jul 17;3(7):426-433. doi: 10.1302/2058-5241.3.170027. eCollection 2018 Jul. Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures. Sirin E(1), Aydin N(2), Mert Topkar O(1). Author information: (1)Marmara University Pendik Research and Teaching Hospital, Department of Orthopaedics and Traumatology, Turkey. (2)Istanbul University - Cerrahpasa. Cerrahpasa School of Medicine, Department of Orthopaedics and Traumatology, Turkey. Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma - often found among athletes and people involved in contact sports.This injury occurs five times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint.Depending on the degree of injury, the clavicle may become prominent on the injured site.The original classification was described by Rockwood and Green according to the injured ligament complex and degree and direction of clavicular displacement.Many surgical procedures have been described; among these are screws, plates, muscle transfer, ligamentoplasty procedures and ligament reconstruction using either autograft or allografts.With the advancement of shoulder arthroscopy, surgeons are much more capable of performing mini-open or arthroscopically-assisted procedures, allowing patients an earlier return to their daily living activities. However, the results of conventional open techniques are still comparable.The introduction of new arthroscopic equipment provides a great variety of surgical procedures, though every new technique has its own advantages and pitfalls. Currently there is no gold standard for the surgical treatment of any type of AC injury, though it should be remembered that whenever an arthroscopic technique is chosen, the surgeon's expertise is likely to be the most significant factor affecting outcome. Cite this article: EFORT Open Rev 2018;3:426-433. DOI: 10.1302/2058-5241.3.170027. DOI: 10.1302/2058-5241.3.170027 PMCID: PMC6129955